You are using the web browser we don't support. Please upgrade or use a different browser to improve your experience.
"icon arrow top"

Healthcare Payer Consulting Lead




Philadelphia, United States

United States

Healthcare & Medical




Not specified

Permanent | Full Time

Our Company
NTT DATA Corporation is a top 10 global services company and part of the NTT Group, a Fortune 29 telecommunications and services company based in Japan. We operate with 60,000 professionals in 36 countries. Every day around the world we help clients explore new ways to respond to market dynamics with flexibility and speed, reduce costs with less risk, and increase productivity to enable growth.

Health Plan Consulting Practice

Our Health Plan Consulting team includes management consultants with expertise in various key areas of healthcare payer operations, risk adjustment, pay for performance, Stars, HEDIS, medical cost optimization, payment integrity, and value-based care. Our clients include many of the Top 20 Healthcare Payer's in the USA.

We are currently seeking an experienced and dynamic Healthcare Consulting Leader to spearhead our Payer / Health Plan practice.

In this role you will contribute to the growth of the practice in a variety of ways including:

Business Development:

  • Leverage internal (e.g., sales teams) and external (e.g., personal networks, professional networks, analysts) channels to identify clients where our services may provide significant business value and help create multi-million-dollar relationships.
  • Create/identify opportunities within existing and new clients using visionary industry knowledge, intellectual capital, background in potential problem areas, knowledge of upcoming regulatory or market changes to create engagement opportunities.
  • Estimate sales potential, identify key clients, identify collaboration opportunities with other NTT Data BUs, actively lead pursuits and contribute to the business planning of the group.
  • Work with Client Executives to build and maintain professional relationship with senior and C-level client executives and expand professional network in client organizations.
  • Anchor new and existing client accounts, and interfacing on engagement-level client concerns.
  • Practice Development:

  • Define and develop practice offerings, create go-to-market materials including determining where and how to compete to enable practice growth.
  • Actively participate in defining the portfolio of projects within the Health Plan practice
  • Proposal Development:

  • Lead teams to prepare large proposals and program plans, facilitate differentiators (e.g., specific consulting frameworks, intellectual property etc.), articulate value proposition, review and fine tune the financials, and lead proposal presentations in order to create a compelling proposition for the client to engage NTT Data
  • Analyze the probability of winning the deal & the criticality of the deal, as well as appropriately prepare for negotiations on terms and conditions of the engagement with the client and obtain confirmation and approval from all internal stakeholders to ensure timely and smooth closure of the deal.
  • Engagement Management:

  • Lead consulting engagement planning, budgeting, resource mobilization and deliverable definition
  • Lead project launch to ensure that the engagement is kicked off smoothly.
  • Review the progress periodically with the team as well as the client, appropriately intervene in critical situations, and guide the team to address critical issues to ensure that the client realizes the business value articulated at the time of the deal closure.
  • Actively participate in project governance including Steering Committee and Strategic Business Review sessions
  • Build high morale and a highly effective teams and position programs for success.
  • Thought Leadership:

  • Develop practice service offerings, solutions, and methodologies.
  • Develop point of views (POVs) and speak at events such as healthcare conferences, establishing self as an industry thought leader.
  • Author multiple articles that advance the quality of healthcare services
  • Mentor others to actively publish in healthcare periodicals.
  • Recruitment & People Management:

  • Demonstrate the ability to attract, retain and develop top consulting talent and the next generation of NTT Data Consulting leaders.
  • identify upcoming skill needs and potential sourcing pools, interview candidates, influence a favorable perception of NTT Data as an employer, and decide on offer details to ensure that the practice has the appropriate skills required.
  • Perform the role of counselor and coach, provide feedback and guidance, actively participate in performance reviews, provide leadership and act as role model for team members.
  • Basic Qualifications:

  • 12+ years of Big 4 or equivalent payer/health plan advisory management consulting experience
  • 10+ years in healthcare payer operations, value-based care, and risk adjustment
  • Minimum 5 years' experience in leading consulting practice or customer engagement/delivery operations
  • Knowledgeable of Medicare Star Ratings, HEDIS, and medical cost management methodologies with context of value-based care
  • Experience in key areas of healthcare payer operations, risk adjustment, pay for performance and payment integrity
  • Bachelor's degree in healthcare administration, Business, or a related field
  • Preferences

  • MBA is preferred

  • Loading please wait...